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Booking Application for Madison Pisani

Please complete the form below for performance bookings

Madison

Pisani

Music

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Your Information

Fields with a * are required

NAME*

YOUR ROLE IN THE COMPANY / ORG*

PHONE*

MAIN CONTACT EMAIL*

Company / Org Information

WEBSITE

EVENT LOCATION ADDRESS*

Event Information

TYPE OF EVENT*

Bar

Restaurant

Wedding

Family Event

Company Party

Conference

Worship Service

Retreat

Live Recording

Studio Time

TV/Radio Interview

YouTube / FaceBook Interview

TITLE OF THE EVENT*

DATE OF EVENT*

WHY DO YOU WANT MADISON TO BE A PART OF YOUR EVENT?*

EVENT THEME*

EVENT DETAILS*

Private (ie. Family / Company Party)

Public (ie. Restaurant, Bar)

Ticketed (ie. Paid entrance, tickets sold)

OTHER EVENT PARTICIPANTS*

Questionnaire

HOW DID YOU HEAR ABOUT MADISON?*

WHAT ARE YOUR EXPECTATIONS FOR MADISON AND HER ROLE AT THIS EVENT?*

TERMS AND CONDITIONS

THIS IS SIMPLY A REQUEST FORM AND DOES NOT CONFIRM AN EVENT. ALL FIELDS ARE REQUIRED FOR PROCESSING YOUR REQUEST. *

I UNDERSTAND

EACH EVENT REQUIRES DIFFERENT ARRANGEMENTS. THESE MAY INCLUDE (BUT ARE NOT LIMITED TO): DEPOSIT, HONORARIUM, TRAVEL, LODGING AND MEALS. IN THE CASE OF A CONFIRMATION, FURTHER DETAILS WILL BE MADE AVAILABLE AND INCLUDED WITH A FINAL CUSTOMER COMMITMENT AND ASSOCIATED RIDERS. *

I UNDERSTAND

I UNDERSTAND THAT THIS EVENT CAN NOT BE RECORDED OR FILMED FOR RESALE WITHOUT THE WRITTEN PERMISSION OF MADISON PISANI MUSIC*

I UNDERSTAND

Madison Pisani

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